P3 Health Partners · 12 hours ago
Clinical Reviewer
Henderson, NV
Full-time
Hybrid
Mid Level
$80K/yr - $95K/yrP3 Health Partners is a physician-led organization committed to transforming healthcare into wellness guidance. The Clinical Reviewer is responsible for reviewing medical records to identify Medicare Risk Adjusting diagnoses and creating clinical summaries, while collaborating with clinical teams to improve documentation accuracy.
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Responsibilities
Conduct detailed medical record reviews to identify risk-adjustable conditions per CMS guidelines
Create patient condition summaries using internal tools (e.g., Patient 360, Excel macros)
Identify and flag opportunities for clinical documentation improvement (CDI)
Upload supporting evidence for the closure of quality gaps (e.g., HEDIS)
Collaborate with providers and clinical teams to improve documentation accuracy and completeness
Help drive provider engagement and education around risk adjustment and documentation standards
Maintain production standards and meet established quality and timeliness goals
Qualification
Required
Strong clinical understanding and ability to interpret complex medical records
Knowledge of CMS Risk Adjustment models (e.g., HCC, ACO REACH, RAF scoring)
Familiarity with ICD-10 documentation guidelines and MEAT criteria
Skilled in Microsoft Office, particularly Excel and Outlook
Detail-oriented, highly organized, and capable of managing multiple tasks independently
Strong interpersonal and communication skills to work effectively with clinical and non-clinical teams
Comfortable interacting with providers, coding teams, and operations staff
Motivated team player with a positive attitude and accountability for outcomes
Able to work in a deadline-driven environment and maintain productivity metrics
Understanding of CMS Risk Adjustment compliance rules and regulations
Understanding of CMS Risk Adjustment models
Understanding of ICD10 MRA documentation guidelines
Physician (DO, MD), Nurse Practitioner, Physician Assistant, Nurse (RN, LPN), Coder, CDI certification or similar experience
Preferred
Current coding certification through AAPC or AHIMA preferred, but not required
Company
P3 Health Partners
P3 Health Partners is a patient-centered, physician-led and population health-focused healthcare company.
Founded in 2015
201-500 employees
Funding
Current Stage
Public CompanyTotal Funding
$332.2MKey Investors
Chicago Pacific FoundersChicago Pacific Founders,Leavitt Partners
2024-05-23Post Ipo Equity· $42.2M
2023-03-31Post Ipo Equity· $90M
2021-12-06Post Ipo Equity· $200M
Leadership Team
Sherif Abdou
Co-Founder
Bill Bettermann
Chief Operating Officer
Recent News
2025-12-02
2025-11-14
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